| NPI | 1023401965 |
|---|---|
| Other Name | TEMPE PSYCHIATRY GEN PTR |
| Entity Type | Organization |
| Authorized Contact | EKRAM EBRAHIM Owner/Manager 480-945-2558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-09-03 |